| NPI | 1861164766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDY ASH MYERS Owner 302-593-2550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2021-09-29 |